Case Analyst 2

C-HITUnited StatesRemote, Onsite

Position Duties:

Acts as internal consultant by providing guidance and support to assist Appeals specialist, Project Manager, and QA Manager in the development of written decisions on the Appeal or Rebuttal.
Provides high quality customer service to all providers/suppliers/properly appointed representatives as it relates to the submission, processing, and issuance of decisions for rebuttals, CAPs, and reconsideration requests.
Understands and properly uses and interprets various federal policies, regulations, and systems in response to providers that are challenging provider enrollment administrative actions rendered by CMS.
Follows all detailed instructions when receiving, processing, and rendering written decisions.
Participates actively in business decision-making by offering qualitative feedback, recommendations, and discussing “what-if” scenarios.
Influences and analyzes time sensitive case responses.
Coaches, supports, and cross-trains with peers. Inputs case details in the requisite systems.
Opportunities for travel may arise occasionally for in-person meetings, trainings, and presentations.

Education and Experience Requirements:

Possess either: (1) a 4-year degree from an accredited institution (i.e., a Bachelor’s degree) with at least 6 year of experience in healthcare regulatory interpretation/application and/or in healthcare compliance, or (2) a Paralegal Certificate from an accredited institution with at least 4 year of experience working as a Paralegal.

Salary & Benefits Information:

The base pay for this position ranges from $65,000-85,000.
The actual salary offer will carefully consider a wide range of factors, including your skills, qualifications, experience, and location.
C-HIT offers Healthcare Benefits, Remote Working Options, Paid Time Off, PTO cash-out, Training/Certification opportunities, Healthcare Savings Account & Flexible Savings Account, Paid Life Insurance, Short-term & Long-term Disability, 401K Match & Profit sharing, Employee Assistance Program, Paid Holidays, and much more perks and Voluntary benefits!

C-HIT, a CMMI Maturity Level 5 company, focuses on delivering information technology and professional services to Federal and State agencies.

C-HIT is an EOE, including disability and veterans. 65000.00 To 85000.00 (USD) Annually

Life at C-HIT

C-HIT provides comprehensive, reliable, innovative Information Technology, Healthcare, and Health Information Technology (HIT) software development and consulting services to federal, state, and local organizations. We are customer-focused, and we listen to our clients, ensuring we provide the services our clients want, while saving them money. We provide fast and effective solutions and seamless transitions, enabling our clients to improve their performance and maximize their productivity in a secure IT environment. C-HIT specializes in enterprise strategy and architecture; project management; identity and access management; software and cloud engineering; big data solutions, data analytics, and business intelligence; HIT systems and data interoperability; cyber and digital security; and quality assurance and independent validation services testing. C-HIT's success is attributed to our highly talented, versatile employees who consistently exceed our clients expectations and are recognized for their hard work, quality performances, customer service, and responsiveness on every initiative. C-HIT, an 8(a)-certified EDWOSB, with CMS SPARC SB IDIQ, is a process-centric organization, maintaining CMMI Maturity Level 3 for Development and following ITIL and PMBOK-based standards and best practices.